Ascites and incomplete small bowel obstruction

Case contributed by Dr Francis Fortin

Presentation

Known metastatic ovarian cancer. Rule out small bowel obstruction.

Patient Data

Age: 59 years old
Gender: Female

Abdominal X-Ray

Modality: X-ray

Compared with the previous study (not included), there is diffuse intraperitoneal increased density indicating ascites in this patient with known peritoneal carcinomatosis secondary to ovarian cancer.

There are also air-fluid levels and a dilated small bowel up to 40 mm, strongly suggestive of small bowel obstruction.

Finally, there are bilateral pleural effusions with a chest tube on the right.

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Case Information

rID: 34741
Case created: 6th Mar 2015
Last edited: 30th Sep 2015
Inclusion in quiz mode: Included

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